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<br />,4Co^ ip CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMfDD1YYYY)
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />07/16/2018
<br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE, DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT Marleen Francis
<br />NAME:
<br />The Partners Group LtdPHDN!E
<br />(877)466-5040 FAX (425p4S5-6727
<br />AdC No.. Ext °. ACNo ;
<br />11225 SE 6th St.
<br />E-MAIL mfrancis@tpgrp.corn
<br />ADDRESS:
<br />Suite 110
<br />CLAIMS -MADE OCCUR
<br />INSURERS) AFFORDING COVERAGE NAIC #
<br />Bellevue WA 98004
<br />INSLURERA: Sentinel insurance Co, LTD 11000
<br />INSURED
<br />INSURER B: Hartford Accident cis Indemnity 22357
<br />Technology Unlimited, Inc.
<br />INSURERC:
<br />6802 S 220th St
<br />INSURER D -.
<br />INSURER E:
<br />Kent WA 98032
<br />INSURER F
<br />CnVFRA.CF:S r.FRTIFIrATFWIIMlAr. - 18-19GLALELXS r7C17tCinRtwlrg11ADCrr.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSIR
<br />LTR
<br />TYPE OF INSURANCE
<br />AD,DL
<br />IN SD
<br />SUBIR
<br />WVO
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIY'YYY
<br />POLICY EXP
<br />MMfDDIYYYY
<br />LIMITS
<br />COMMERCIAL GENERAL LABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />1,000000
<br />PREMISES Ea occurrence
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL dADV INJURY s 1,000,000
<br />A
<br />Y
<br />52SBAIX8468
<br />08/04/2018
<br />08/0412019
<br />GEN"LAGGREGATE LIMITAPPLiES PER:
<br />GENERAL AGGREGATE S 2,000,000
<br />POLICY PRO-
<br />JRI-LOC
<br />PRODUCTS - COMPfCPAGG S 2,000,000
<br />S
<br />O`1'HER:
<br />AUTOMOBOLELIABILITY
<br />COMBINED SINGLE LIMIT S 1,000,000
<br />Ea. accident
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />H
<br />OWNED SCHEDULED
<br />52UECHB2224
<br />08/0412018
<br />06/04/2019
<br />BODILY INJURY (Per accident) $
<br />AUTOSONLY AUTOS
<br />HIRED HNON-O VNEO
<br />PROPERTY DAMAGE. $
<br />Per accident
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />X
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE. S 4.000,000
<br />AGGREGATE S 4,000,000
<br />A
<br />EXCESS LIAR Id
<br />CLAIMS -MADE
<br />52SBAIX8468
<br />08/04/2018
<br />08/04/2019
<br />DED I RETENTION 5 10^U©0
<br />S
<br />WORKERS COMPENSATION
<br />PER DTH -
<br />AND EMPLOYERS' LIABIOTY YIN
<br />STAT U"rE ER
<br />E.L.. EACH ACCIDENT S 1,000,000
<br />A
<br />ANY PROPRIETORIPARTNEWLXECUTIVE F
<br />'OFFICERIMEMBEREXCLUDED7
<br />NIA
<br />523BAIX8468- WA Stop Gap
<br />08/04/2'018
<br />08/04/2019
<br />(Mandatory in NH)
<br />E.L. DISEASE - EA EMPLOYEE. S 1,000,000..
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT S 1,000,000
<br />DESCRIPTION OF OPERATIONS] LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />The City of Santa Ana, its officers, agents, volunteers and representatives are included as Additional Insured on General Liability -Primary//
<br />as respects opersations performed by or on behalf of the Named Insured per attached form. 19 ,r ny Vii/
<br />Zi
<br />E*-6 APIto
<br />I i!9
<br />ei*zl
<br />At'-/ ...
<br />City of Santa Ana, M-14 Attn: Alfonso Chavez
<br />20 Civic Center Plaza
<br />PO Box 1964
<br />Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE, THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE.
<br />CA 92702-1964
<br />2 a
<br />Oc 1988-2015 ACORD CORPORATION'. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />W
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